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General NPI Number Information
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NPI Number | 1528066693
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Entity Type | Individual
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Provider Name | ILONA SLUSKER SHTERNFELD M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 2800 TAMARACK AVE SUITE 102
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-5539
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Country | US
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Telephone | 860-648-0638
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Fax | 860-648-0870
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Provider Business Mailing Address
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Address Line | 2800 TAMARACK AVE SUITE 102
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-5539
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Country | US
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Telephone | 860-648-0638
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Fax | 860-648-0870
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 041170
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License Number State | CT
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